BACKGROUND: Two of the most commonly used open prosthetic tension-free techniques for inguinal hernia repair are Lichtenstein's operation and the mesh plug repair. The technique of choice remains a subject of ongoing debate. The objective of the present investigation was to compare the two surgical procedures with respect to associated morbidity and recurrence rates. METHODS: Five hundred and ninety-five patients with 700 primary or recurrent inguinal hernias were randomized to undergo either Lichtenstein's operation or mesh plug repair. The primary endpoint of the investigation was the recurrence rate 1 year after surgery. Secondary endpoints were perioperative complications and reoperation rates. RESULTS: At 12-month follow-up, 597 hernia repairs (85.3 per cent) were evaluated. There were no significant differences regarding recurrence rates and perioperative complications. However, there was a significant difference in the overall reoperation rate between the two treatment groups, with 13 reoperations (4.2 per cent) in the Lichtenstein group and four (1.4 per cent) in the mesh plug group (P = 0.047). CONCLUSION: Lichtenstein's operation and the mesh plug repair are comparable with respect to perioperative complications and recurrence rates. Copyright 2006 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
BACKGROUND: Two of the most commonly used open prosthetic tension-free techniques for inguinal hernia repair are Lichtenstein's operation and the mesh plug repair. The technique of choice remains a subject of ongoing debate. The objective of the present investigation was to compare the two surgical procedures with respect to associated morbidity and recurrence rates. METHODS: Five hundred and ninety-five patients with 700 primary or recurrent inguinal hernias were randomized to undergo either Lichtenstein's operation or mesh plug repair. The primary endpoint of the investigation was the recurrence rate 1 year after surgery. Secondary endpoints were perioperative complications and reoperation rates. RESULTS: At 12-month follow-up, 597 hernia repairs (85.3 per cent) were evaluated. There were no significant differences regarding recurrence rates and perioperative complications. However, there was a significant difference in the overall reoperation rate between the two treatment groups, with 13 reoperations (4.2 per cent) in the Lichtenstein group and four (1.4 per cent) in the mesh plug group (P = 0.047). CONCLUSION:Lichtenstein's operation and the mesh plug repair are comparable with respect to perioperative complications and recurrence rates. Copyright 2006 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Authors: Anuradha Anand; Prem A Sinha; Karthik Kittappa; Manoj H Mulchandani; Samuel Debrah; Roger Brookstein Journal: Indian J Surg Date: 2011-01-08 Impact factor: 0.656
Authors: H Uchida; T Matsumoto; H Ijichi; Y Endo; T Koga; H Takeuchi; T Kusumoto; Y Muto; S Kitano Journal: Hernia Date: 2010-06-11 Impact factor: 4.739
Authors: I Sucullu; A I Filiz; B Sen; Y Ozdemir; E Yucel; H Sinan; H Sen; O Dandin; Y Kurt; B Gulec; M Ozyurt Journal: Hernia Date: 2009-11-24 Impact factor: 4.739